Boston Medical Center-brighton Corporation

Nonprofit profile at a glance

EIN
994793550
IRS 990 coverage
2024–2024
Forms available
Form 990 2024, Form 990-N 2023
Location
Boston, MA, USA
Phone
6177893000
Rating
68
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospital, General

Official website

Reported finances

Revenue
$335,707,400
Expenses
$427,200,758
Assets
$128,165,273
Liabilities
$219,658,631

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

9 people listed

Executive titles in this filing

  • ALASTAIR BELL MD (BOARD PRESIDENT/TRUSTEE)
  • PAUL SMITH (PRESIDENT, BMC-BRIGHTON)

Highest reported compensation

  • ALASTAIR BELL MD (BOARD PRESIDENT/TRUSTEE): $2,199,373 total reported compensation
  • JESSE SOUWEINE (TREASURER): $789,901 total reported compensation
  • DAVID BECK (CLERK): $788,225 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

See schedule o

What it reported doing in 2024

Boston medical center-brighton (bmc-brighton) is part of the largest safety net (essential) health system in new england. It is a private, not-for-profit 291-licensed bed, academic hospital that offers patients access to some of boston's most advanced treatments and specialty care to all in need of care, regardless of status and ability to pay. Patients can receive care across a variety of specialities including bmc-brighton's advanced stroke center, level iii neonatal intensive care unit and award-winning advanced cardiac surgery. Bmc-brighton partners with the community it serves to improve the overall health and wellbeing of patients and neighbors by delivering preventative care, education and funding of community programming. As the tertiary care hospital for Massachusetts' gateway cities, bmc-brighton cares for transfer patients from some of the commonwealth's most historically underserved regions.

Operating model

Revenue model
Earned-program. 84% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. A relatively small share of voting board members are independent and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 83
  • Transparency & Controls: 88
  • Accountability: 37
  • Sustainability: 14
  • Growth: NotEnoughData

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 80.7%; rating input score 81
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
  • Pay-setting controls: 5 of 6 controls in place; rating input score 83
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Pass
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 0%; rating input score 0; 4th percentile among comparable filings
  • Governance controls: 8 of 9 controls in place; rating input score 89
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -27.3%; rating input score 3; 3rd percentile among comparable filings
  • Total-asset coverage ratio: 0.3; rating input score 10; 10th percentile among comparable filings
  • Liabilities to assets ratio: 1.71; rating input score 2; 2nd percentile among comparable filings
  • Officer compensation ratio: 0.5%; rating input score 84; 84th percentile among comparable filings

Growth

  • Program expense growth: Limited
  • Revenue growth: Limited
  • Asset growth: Limited

Details

  • Where the money goes: 100% of revenue deployed · 80.7% of spending went to programs
  • Governance: 0 of 1 board members independent · 8 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $344.7M in reported program spending
  • Leadership: top reported pay $2.2M · 9 people listed · 5 of 6 pay-setting controls reported
  • Highest-paid contractors: 4 contractors listed · $1.4M reported
  • Consistency: 30 of 30 current checks pass
  • Schedules: 6 filed schedules · includes executive pay
  • Contacts: How to reach this organization
  • Money network: 6 filed money-flow records
  • Related organizations: 7 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Accountability: Independent voting board scored 0/100.
  • High — Sustainability: Operating margin scored 3/100.
  • High — Sustainability: Total-asset coverage ratio scored 10/100.
  • Review — Accountability: Governance controls: Other executive compensation review process not reported.
  • High — Sustainability: Liabilities to assets ratio scored 2/100.